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Evaluation Reports

Some evaluation reports are public and can be downloaded from this website, while others are restricted to MSF users and can only be accessed via Tukul. This limitation is mainly due to the sensitive nature of the operational contexts and the resulting content. However, there are internal discussions about making all evaluation reports publicly searchable. If you are an MSF association member, reports are made available on various associate platforms such as www.insideOCB.com.

This report presents a lessons learned exercise of OCG’s ongoing intervention in Dagahaley refugee camp in Kenya. It describes the project’s main achievements and medical outcomes and examines the effect of the remote modus operandi and the adaptive measures that were taken.

This publication was produced at the request of MSF-OCG, under the management of the Vienna Evaluation Unit. It was prepared independently by Nicole Henze and Séverine Ramon.

The objective of this lessons learnt exercise was to assess the advantages and disadvantages of the UNITAID grant governance and management model for project achievements in terms of medical (and related) outcomes, strategic decisions, the potential for collaboration between multiple MSF entities and to leverage the learnings for replication in future projects. The exercise showed that the project directly delivered a new, more effective, simpler and much cheaper treatment to patients across seven countries.

This publication was produced at the request of MSF OCG, under the management of the Vienna Evaluation Unit. It was prepared independently by Hugues Juillerat, Sharon McClenaghan and Glenn O’Neil of TRAASS International.

In recent years, MSF has noted that ‘social violence’ is strongly linked to health exclusion and dysfunctional health systems. Therefore, the Operational Centre Geneva (OCG) initiated an intervention in Honduras in 2010 and a project in Nuevo Laredo, Mexico in January 2014. The current evaluation aims to determine the pertinence, appropriateness, effectiveness and impact of the OCG projects in Honduras and Mexico in responding to identified needs.

This publication was produced at the request of MSF OCG, under the management of the Vienna Evaluation Unit. It was prepared independently by Silvia Gurrola Bonilla, MSc. and Regina Escudero Durán, MD.

In recent years, MSF has noted that ‘social violence’ is strongly linked to health exclusion and dysfunctional health systems. Therefore, the Operational Centre Geneva (OCG) initiated an intervention in Honduras in 2010 and a project in Nuevo Laredo, Mexico in January 2014. The current evaluation aims to determine the pertinence, appropriateness, effectiveness and impact of the OCG projects in Honduras and Mexico in responding to identified needs.

This publication was produced at the request of MSF OCG, under the management of the Vienna Evaluation Unit. It was prepared independently by Silvia Gurrola Bonilla, MSc. and Regina Escudero Durán, MD.

In recent years, MSF has recognised the need to improve its handover process and outcomes. It is no longer satisfactory for the organisation to enter a country, put in place a programme and leave without some degree of accountability for what remains after MSF’s departure. This tendency has led the MSF Operational Centre Paris (OCP) to review the handover process of the Homa Bay County Hospital project in Kenya. The main goal of this evaluation is to explore how effective the handover strategy was in contributing to sustainable, comprehensive quality of HIV/TB care in Homa Bay.

This publication was produced at the request of MSF OCP, under the management of the Vienna Evaluation Unit. It was prepared independently by Marielle Bemelmans and Annie Désilets.

In recent years, MSF has recognised the need to improve its handover process and outcomes. It is no longer satisfactory for the organisation to enter a country, put in place a programme and leave without some degree of accountability for what remains after MSF’s departure. This tendency has led the MSF Operational Centre Paris (OCP) to review the handover process of the Homa Bay County Hospital project in Kenya. The main goal of this evaluation is to explore how effective the handover strategy was in contributing to sustainable, comprehensive quality of HIV/TB care in Homa Bay.

This publication was produced at the request of MSF OCP, under the management of the Vienna Evaluation Unit. It was prepared independently by Marielle Bemelmans and Annie Désilets.

OCB initiated the Kibera project at a time when there was a lack of access to affordable HIV/TB health care and succeeded in providing HIV drugs in Kenya, against all odds. The initial decision to intervene in Kibera was based on need and while the needs remain massive, OCB is no longer alone in providing HIV and TB treatment, hence the opportunity to handover the responsibilities of the health facilities to the Nairobi County to ensure that the population is not abandoned and that the quality care and treatment is continued.

This publication was produced at the request of MSF OCB, under the management of the Stockholm Evaluation Unit. It was prepared independently by Eddah Kanini.

This evaluation finds that the Kibera Project has had a tremendous impact at the patient, community and policy level. Additionally, the report points out that the decentralisation of health services at the primary health care level has been a core tenet of the project as it has evolved from a vertical HIV/AIDS programme to a multi-clinic operation offering comprehensive health care.

In the last decade, while facing increasingly complex “projects”, MSF-OCP has chosen to add means to improve its interventions. This results in the actual growth syndrome of MSF-OCP HQ departments, which is also significantly impacting country coordination (CC) set-ups and means. New scenarios should be tested, notably for mono-projects (to revise), the idea being to reduce CC set-ups whenever possible. Resources' analyses highlight the importance of competent persons to follow (coordinators & key positions), including PCs, with a clearer career path.